Like I’ve mentioned in a few of my previous posts, this pandemic has brought on a lot of changes for everyone– but there is variation in how COVID-19 has impacted different groups of people. The experience of racial and ethnic minorities during this pandemic has been very different from other groups and is reflective of health outcomes that often exist for minorities in the U.S.
COVID-19
In New York City, the death rates for Black/African American individuals is much higher due to the virus, than it is for other racial/ethnic groups (1). The chart below shows the disproportionality of the effects of COVID on the population of African American individuals in a few states. 
Compared to the total state population, the majority of patients affected by COVID are African American (2).
These disparities exist not only during this pandemic, but in healthcare in general:
Reasons for the Disparity
People who belong to racial or ethnic minority groups experience the health care system differently than others– many of the existing disparities in society lead to poorer health outcomes, as well as greater vulnerability to viruses and other illnesses. Many minority groups live in heavily populated areas or live in households with multiple generations, where social distancing might not be possible (1). Many work hourly, so health benefits are not part of the package and health services become difficult to access (2). There is also a much higher population of racial and ethnic minorities in jails, prisons, etc. which are again, places that increase the risk of spread of viruses and other illnesses (1).
Also, because of the social distancing measures that have to be taken because of the pandemic, there has been a decrease in quality of care for patients who don’t speak English (4). Before, interpreters/translators could be present in person during a patient’s visit, which makes it much easier to translate and understand the patient’s concerns and symptoms. Now, a lot of interpreters have to work over the phone and it’s possible that a lot of information is getting lost in translation because it’s just harder to have a conversation and understand each other that way.
While the pandemic has affected everyone in one way or another, it has not affected everyone equally. The social determinants of health that I talked about in my first blog, in addition to factors such as racism, geographic location, and poverty, play a large part in deciding how an individual is affected. Unfortunately, the same level and quality of healthcare are not available to every person. Moving towards a system that addresses these disparities and provides excellent health care to each patient will involve first resolving the inequalities that exist in health care delivery in general and access to healthier food, exercise, etc. Additionally, training healthcare providers to better understand cultural differences and barriers to care could improve health outcomes for minority groups (3).
258,043 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
CMCNa
Spinal cord microcirculation involves functioning endothelial cells at the blood spinal cord barrier (BSCB) and maintains normal functioning of spinal cord neurons, axons, and glial cells. Protection of both the function and integrity of endothelial cells as well as the prevention of BSCB disruption may be a strong strategy for the treatment of spinal cord injury (SCI) cases. Sodium Tanshinone IIA silate (STS) is used for the
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Donafenib
531). EGFR mutation status (same mutations, different mutations, all wild-type) had no statistically significant effect on DFS of SMFLC (
=0.388). Univariate and multivariate regression analysis revealed that radiographic feature of solid nodules (hazard ratio (
)=7.4,
=0.008) and MMFLC (
=5.6,
=0.001)
HolmRomero7577
MMP9IN1
Interestingly, erythrocyte dysfunction in diabetes by decreasing ATP release in response to physiological stimuli may serve as an important trigger to induce vascular dysfunction. Nucleot(s)ide-mediated purinergic activation also exerts long-term actions including inflammatory and atherogenic effects in hyperglycemic and diabetic conditions. This review highlights the current knowledge regarding the altered nucleot(s)ide
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otomy for aceruloplasminemia patients without symptomatic anemia.BACKGROUND Cultural and religious practices of African origin have decisively influenced traditional health practices in the Americas since the African diaspora. Plants are core elements in the religions of African origin. Compared with other parts of Brazil where the Afro-Brazilian presence is widely recognized, in Southern Brazil, these cultural pra
AhmadFerguson9694
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Clinical trials in China have demonstrated that ranibizumab can improve the clinical outcomes of branch retinal vein occlusion (BRVO) and central retinal vein occlusion (CRVO). However, no economic evaluation of ranibizumab has been conducted among Chinese patient population.
To provide insights into the economic profile of ranibizumab among Chinese RVO population, a
YildizHernandez4899
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The concordance index (C-index) of nomogram was 0.913, with confirmation in the validation set where the C-index was 0.886.
We established and validated a novel nomogram that can individually predict HBsAg seroclearance and non-seroclearance for CHB patients, which is clinically unprecedented. This practical prognostic model may help clinicians in decision-making and d
LindahlIsaksen1370
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We observe that most incident infections require treatment before the density of mature gametocytes is sufficient to infect mosquitoes. In contrast, chronic, asymptomatic infections represent a significant source of mosquito infections. Our observations support the notion that malaria transmission reduction may be expedited by enhanced case management, involving both symptom-screening and infection detection.Schizoph
RobinsonAndreasen3354
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Why a Replacement Key Fob Isn’t Always a Good Idea
Car key fobs can be expensive to replace. Once they stop working, you have to pay the dealer to replace them.
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Leather 4 Seater Corner Sofa
The sofa is a central feature in any living space. It is therefore crucial to choose the best one. A leather 4 seater corner sofa is stylish and comfortable, while blending seamlessly into contemporary living spaces.
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VillumsenSilver0425
CDK inhibitor review
CONCLUSIONS In the Nepalese general population, marital transitions increase the odds of subsequent depression, especially among the female population. Results provide basic but essential vital health data that can guide clinicians to proactively plan sustainable healthcare both within South Asia and among many South Asians living in other places. BACKGROUND Depression is correlated with poor prognosis in patients with coro
HolmGibbons3567
Learn Driving Lessons
Learning to Drive – Why You Need Professional Driving Lessons
Driving is a ability that has many benefits. For Driving Instructor Training , it allows you to travel on your own without being tied to bus routes or the availability of other people for rides. makes it easier to get to jobs or events as well as social activities.
eKomi evaluates driving
MikkelsenLiu6793
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A Leather 4 Seater Sofa Is a Great Addition to Modern Or Traditional Living Rooms
A leather four-seater couch will look great in a modern or traditional living space. Some also come with a sleeper that provides luxury comfort during the day, and a comfortable guest bed at night.
The comfort of a leather sofa is contingent on the style and fill of its
MendozaLaw4608
β-Nicotinamide cell line
A deep eutectic solvent functionalized graphene oxide composite adsorbent (DFG) was synthesized through reversible-addition fragmentation chain-transfer polymerization. The synthesized DFG had multiple adsorption interactions after covalent modification with a deep eutectic solvent (allyltriethylammonium bromide/ethylene glycol). Adsorption isotherms and kinetics studies of DFG indi
FoxFarmer4503
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Problematic smartphone use (PSU) is related to psychopathology symptoms, such as depression and anxiety. However, less is known about how responses to and coping with psychopathology correlate with PSU. We conducted a web survey of 286 American college students, querying depression and anxiety symptoms, rumination (a coping process to avoid negative emotion), PSU
RindomHovgaard1695
Pifithrin-μ nmr
50 years. The topical treatment statistically significantly (p = 0.0001) alleviated the symptoms of xerostomia and improved their quality of life (OHIP-14 scores) (p = 0.0001). We observed a statistically significantly IDWG (kg) and IDWG% reduction (p = 0.03) after the use of topical treatment for xerostomia. None of the patients reported side effects. Conclusions Xerostomia might affect the quality of life an
McfarlandMelchiorsen8427
Tamoxifen in vitro
This is the first report of an mcr-9 and blaVIM-4 /IncHI2-carrying multidrug-resistant E. hormaechei clinical isolate from Africa and the Middle East. Plasmids of the IncHI2 group and the two insertion sequences (IS1, and IS903) might be the main vehicles for dissemination of mcr-9. Further screening for mcr-9 is essential for identifying its incidence and to prevent its dissemination.Objectives The objectives o
YoungEgholm0293
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Car Key Fob Replacement
They are a convenient and secure feature that lets drivers operate their vehicles more efficiently. They are not indestructible, and require periodic maintenance.
Before you visit your local hardware store for the replacement of your
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Theory and research indicate that adverse childhood experiences (ACEs) are linked to negative parenting attitudes and behaviors. We posit that protective and compensatory experiences (PACEs) in childhood buffer the negative effects of ACEs on later parenting. To test this premise, the present study examined associations between ACEs, PACEs, and attitudes towards nurturing and harsh parenting in a
SextonZamora4278
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ust hazards.Objective To explore the non-target metabonomics of serum in worker’s pneumoconiosis (CWP) patients with latent tuberculosis and the biomarkers of latent tuberculosis infection of pneumoconiosis. Methods In December 2018, 39 CWP inpatients from a hospital in Beijing were taken as subjects. The subjects were screened for latent tuberculosis using the in vitro release test of mycobacte
PaaskeWade2332
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A1 Certificate – Why It’s Important to Have One Before Travelling Abroad
In spite of advice from experts many project employees do not take the time to get their A1 Certificates prior to their business trips within the EU. This poses risks for the worker and host companies.
People with a complex schedule may be subject to additional scrutiny during the A1 f
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Elacridar
INTRODUCTION Differences in conduction times from right ventricle to left ventricle and from left ventricle to right ventricle respectively were observed during biventricular devices implantation when changing pacing vector direction. In this article the phenomenon of interventricular conduction time differences is described and assessed in relationship to various clinical and electrophysiological parameters. M
RiggsShelton7190
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= 0.83 ± 0.02; Q3 = 0.83 ± 0.03; Q4 = 0.85 ± 0.2), and probability of heat index ≥86 (Q1 = 0.77 ± 0.04; Q2 = 0.81 ± 0.05; Q3 = 0.83 ± 0.03; Q4 = 0.86 ± 0.03). Conversely, GDPR was negatively associated with rumination nadir at estrus (Q1 = -35.5 ± 0.1; Q2 = -37.0 ± 0.1; Q3 = -38.0 ± 0.1; Q4 = -39.6 ± 0.1 min). We detected a positive association between GDPR and hazard of pregnancy (adjusted hazard ratio = 1.11, 9
ReeseSkou1620
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Multiple actions of extracellular Pi on the skeletal cells are likely to be partly mediated by type III sodium/phosphate (Na+/Pi) cotransporters Pit1 and Pit2, although the details are not fully understood. In the current study, to determine the roles of Pit1 and Pit2 in osteoblasts, we generated Pit1-knockout (KO) and Pit2-KO osteoblastic cells by applying CRISPR/Cas9 genome editing to an osteoblastic cell line MC3T3-E1
LundClausen0103
Tofacitinib
Laparoscopic gastrectomy cannot be performed routinely in many centres, because there is still no standardisation in the centres where it is performed, and therefore, new learning areas are needed for residents working in these centres for surgical training. These areas are various courses, video training sets and video platforms watched over the internet. The most frequently used platforms are YouTube
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As a result, the common belief that benzodiazepines should be substituted by medications that cause less dependence such as antidepressants and antipsychotics runs counter the available literature. Ketamine, and probably its derivatives, may be classified as at high risk for dependence and addiction. Because of the lag phase that has taken place between the introduction of a drug into the market and the desc
MarcusGarcia4362
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How to Choose the Best Triple Bunk Bed
A triple bunk is an excellent upgrade to the toddler floor beds your children have outgrown. It’s a fun and effective sleeping solution that is both secure and beautiful.
The most comfortable triple bunk bed comes with full-length rails and a slatted base tha
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A bioethanol fireplace makes a stylish centre-piece for your home. These wall-hung fires can be mounted on any wall and do not require a chimney, making them easy to set up.
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To determine the relative variability and magnitude of symptomatic improvement in antidepressant-treated individuals compared to placebo-treated individuals, and to investigate moderating factors.
Multiple databases and previous publications were searched through February 2019 to identify all randomized controlled trials comparing placebo and antidepr
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Shoppers searching for the top full size bunk beds must take into consideration a variety of aspects. Among these are the height and weight capacity, color and design.
The best full size bunk be
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Using a microfluidic setup for controlled emulsification, we demonstrate that bacterial cellulose capsules can be produced with tunable size and monodispersity. Furthermore, we show that successful droplet stabilization and bacterial cellulose formation are functions of the bacteria concentration, droplet size, and surfactant type. The obtained results represent the first milestone in the production of self
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ing pedagogy was a predictive factor to intrinsic academic motivation among nursing students. The approach demonstrated educational potentials to change the spectrum of nursing competency and quality of care to patients or clients. This study suggests problem-based facilitatory teaching pedagogy be integrated into the nursing curriculum in Tanzania as it is feasible.
The Problem Based Facili
LundingSalomonsen2894
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However, significant beta-diversity (Bray-Curtis) differences were noted at baseline between patients based on response status. Notably, responders were observed to have a higher abundance of
in pretherapy baseline samples.
Our longitudinal study demonstrates that the sputum microbiome of patients with CF is relatively stable following inhaled tobramycin over many months. In
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In this article, we discuss two novel sparse versions of the classical nearest-centroid classifier. The proposed sparse classifiers are based on ℓ₁ and ℓ₂ distance criteria, respectively, and perform simultaneous feature selection and classification, by detecting the features that are most relevant for the classification purpose. We formally prove that the training of the proposed sparse models, with bot
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RESULTS 24-hour urinary Na+ excretion (low=41±24, medium=97±43, high=265±92 mmol/24hours, P less then 0.01) and serum Na+ (low=140.0±2.1, medium=140.7±2.7, high=141.7±2.5mmol/l, P=0.009) increased with greater salt intake. 24-hour ambulatory ARV (systolic BP ARV low=9.5±1.7, medium=9.5±1.2, high=10.0±1.9 mmHg, P=0.37) and beat-to-beat ARV (systolic BP ARV low=2.1±0.6, medium=2.0±0.4, high=2.2±0.8 mmHg, P=0.46) were
FriedrichsenLam2079
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Signs and Symptoms of ADHD in Adults
Many adults with ADHD are not aware they suffer from it. They may struggle to stay on top of their schedules, keep track of appointments or arrive on time to work.
Doctors diagnose ADHD through a review of the patient’s history, i
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The mainstay of diagnosing thyroid cancer is thyroid ultrasound with ultrasound-guided FNB. Contrast-enhanced computed tomography and PET with [F]-fluorodeoxyglucose (FDG) and MRI are reserved for advanced and/or recurrent cases of differentiated thyroid cancer and anaplastic thyroid cancer, while [F]FDOPA and [Ga]DOTATOC are the preferred tracers for medullary thyroid cancer.A 25-year-old woman with hist
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A Small Wood Burner Brings Warmth and Character to Your Living Space
A small wood burner adds warmth and the look of your living space. You can use it to cook, especially in the event that you select the stovetop option.
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These differences in protein localization, gene expressions, and neutralizing capacities indicated that the CpCDPK proteins may have different roles during the lifecycle of Cryptosporidium spp.Accessory proteins are a key feature that distinguishes primate immunodeficiency viruses such as human immunodeficiency virus type I (HIV-1) from other retroviruses. A prime example is the virion infectivity factor, Vif, whi
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A glycoprotein, RNase B, also showed a significantly elongated deamidation half-life compared to nonglycosylated protein RNase A. At last, N-linked glycosylation on INGAP-P, a therapeutic peptide, increased the deamidation half-life of INGAP-P as well as its therapeutic potency.Separation of aromatic/alkane mixtures of similar size and properties is critical for the chemical industry as co
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Surgical correction for scoliosis is undertaken to avoid progression to cardiopulmonary compromise as well as improve the patient’s overall quality of life. In this case report, we presented a case of a 14-year-old girl with epidermolysis bullosa simplex and Gitelman’s syndrome who underwent posterior spinal fusion for scoliosis. The perioperative planning and intraoperative management of a patient with this unique combinat
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Saat sebelum anda mulai untuk kerjakan penempatan taruhan online, lebih baiknya coba studi berbagai hal yang harus harus serta penting buat didalami lebih dahulu. Taruhan online itu menjadi satu diantara soal yang paling memberikan keuntungan dan dapat mendapatkan banyak uang apabila Anda memahami dan pemahaman apa yang mesti dilaksanakan dalam permainan itu. Walau demikian sejumlah banyak pemula banyak yang masih galau dan tidak men
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31), -6.01 to +9.59 mmHg (mean = 1.79) for glaucoma group and -2.99 to +8.65 mmHg (mean = 2.83) for controls. Intraclass correlation coefficient for IOP measurement between tonopachy and Goldmann tonometer was 0.84 for total population, 0.85 for glaucoma group, and 0.63 for controls, respectively. Conclusion Corrected IOP obtained by tonopachy showed moderate agreement with GAT and it is more in glaucoma patients tha
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How to Buy the IMT Driving License in Portugal
You can replace your driver’s licence if it is damaged or lost. Contact an IMT office to do so. You’ll also have to provide your residence card or passport and a copy of Modelo 10 IMT Application Form. You’ll also require an examination for me
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However, there were cross-level interactions, such that individuals who had higher cortisol reactivity to stress in the laboratory were found to consume more total and unhealthy snacks in naturalistic settings on days with high hassles and more negative mood compared to those who exhibited low and moderate cortisol reactivity to stress. This exploratory study provides novel evidence that cortisol reactivity to stress is
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Clinical Relevance- We map hemodynamic lag using breathhold fMRI, providing insight into vascular transit times and improving the regional accuracy of cerebrovascular reactivity measurements.The susceptibility-based positive contrast MR technique was applied to estimate arbitrary magnetic susceptibility distributions of the metallic devices using a kernel decon
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Diverse analysis techniques have been used to comprehend the regulation by the autonomic nervous system (ANS) of the cardiovascular system when a human being faces a stressor. Recently, however, the complete ensemble empirical mode decomposition (EMD) with adaptive noise (CEEMDAN) allows analyzing nonstationary signals in a nonlinear and time- variant way. Consequently, CEEMDAN may provide a means to obt
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70, 95% confidence interval 0.04-1.36, P = 0.038) and overall all-cause mortality (adjusted regression coefficient 1.26, 95% confidence interval 1.05-1.50, P = 0.013). There were no significant correlations between TPMA and any of the traditional frailty tools.
We demonstrate TPMA to be a poor measure of patient frailty when compared with traditional methods of assessment whic
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